Tags

Type your tag names separated by a space and hit enter

Chorioretinal folds in eyes with myopic staphyloma.
Am J Ophthalmol 2015; 160(3):608-613.e1AJ

Abstract

PURPOSE

To determine the frequency and clinical characteristics of chorioretinal folds emanating from the edge of a staphyloma in highly myopic patients.

DESIGN

Observational case series.

METHODS

Eight hundred and eighty-three eyes of 463 patients with an axial length ≥26.5 mm in at least 1 eye were studied. The fellow eyes of patients with unilateral high myopia were also included. Wide-field fundus images and fundus autofluorescence images were used to detect chorioretinal folds emanating from the staphyloma edge. In 100 patients, the eye shape was analyzed by 3-dimensional magnetic resonance imaging (3D MRI).

RESULTS

A posterior staphyloma was found in 459 of the 883 eyes (52.0%). Choroidal folds radiating from the staphyloma edge were found in 6 of the 459 eyes (1.3%) with a posterior staphyloma in wide-field autofluorescent images. The axial length varied greatly from 24.3 mm to 32.5 mm. Regardless of the axial length, all of the 6 eyes had a wide, macular type of staphyloma. Chorioretinal folds emanated from the upper or upper-temporal staphyloma edge. 3D MRI images showed the presence of a notch along the upper or temporal edge of the outpouching, and the eye curvature became flatter toward the steep edge of the outpouching.

CONCLUSIONS

Chorioretinal folds can emanate from the staphyloma edge in highly myopic patients even though the edge was away from the macula. Some directional force toward the steeper edge of the staphyloma might be related to the development of chorioretinal folds.

Authors+Show Affiliations

Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan.Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan.Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan.Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan.Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan.Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan.Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan.Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan. Electronic address: k.ohno.oph@tmd.ac.jp.

Pub Type(s)

Journal Article
Observational Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26052086

Citation

Ishida, Tomoka, et al. "Chorioretinal Folds in Eyes With Myopic Staphyloma." American Journal of Ophthalmology, vol. 160, no. 3, 2015, pp. 608-613.e1.
Ishida T, Shinohara K, Tanaka Y, et al. Chorioretinal folds in eyes with myopic staphyloma. Am J Ophthalmol. 2015;160(3):608-613.e1.
Ishida, T., Shinohara, K., Tanaka, Y., Moriyama, M., Morohoshi, K., Shimada, N., ... Ohno-Matsui, K. (2015). Chorioretinal folds in eyes with myopic staphyloma. American Journal of Ophthalmology, 160(3), pp. 608-613.e1. doi:10.1016/j.ajo.2015.05.028.
Ishida T, et al. Chorioretinal Folds in Eyes With Myopic Staphyloma. Am J Ophthalmol. 2015;160(3):608-613.e1. PubMed PMID: 26052086.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chorioretinal folds in eyes with myopic staphyloma. AU - Ishida,Tomoka, AU - Shinohara,Kosei, AU - Tanaka,Yuichiro, AU - Moriyama,Muka, AU - Morohoshi,Kei, AU - Shimada,Noriaki, AU - Yoshida,Takeshi, AU - Ohno-Matsui,Kyoko, Y1 - 2015/06/04/ PY - 2015/04/08/received PY - 2015/05/28/revised PY - 2015/05/28/accepted PY - 2015/6/9/entrez PY - 2015/6/9/pubmed PY - 2015/11/6/medline SP - 608 EP - 613.e1 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 160 IS - 3 N2 - PURPOSE: To determine the frequency and clinical characteristics of chorioretinal folds emanating from the edge of a staphyloma in highly myopic patients. DESIGN: Observational case series. METHODS: Eight hundred and eighty-three eyes of 463 patients with an axial length ≥26.5 mm in at least 1 eye were studied. The fellow eyes of patients with unilateral high myopia were also included. Wide-field fundus images and fundus autofluorescence images were used to detect chorioretinal folds emanating from the staphyloma edge. In 100 patients, the eye shape was analyzed by 3-dimensional magnetic resonance imaging (3D MRI). RESULTS: A posterior staphyloma was found in 459 of the 883 eyes (52.0%). Choroidal folds radiating from the staphyloma edge were found in 6 of the 459 eyes (1.3%) with a posterior staphyloma in wide-field autofluorescent images. The axial length varied greatly from 24.3 mm to 32.5 mm. Regardless of the axial length, all of the 6 eyes had a wide, macular type of staphyloma. Chorioretinal folds emanated from the upper or upper-temporal staphyloma edge. 3D MRI images showed the presence of a notch along the upper or temporal edge of the outpouching, and the eye curvature became flatter toward the steep edge of the outpouching. CONCLUSIONS: Chorioretinal folds can emanate from the staphyloma edge in highly myopic patients even though the edge was away from the macula. Some directional force toward the steeper edge of the staphyloma might be related to the development of chorioretinal folds. SN - 1879-1891 UR - https://www.unboundmedicine.com/medline/citation/26052086/Chorioretinal_folds_in_eyes_with_myopic_staphyloma_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(15)00330-X DB - PRIME DP - Unbound Medicine ER -